ABSTRACT
Resumen:
Introducción/Objetivo: por medio de los proyectos, la gestión del cuidado y del servicio requiere un abordaje multifactorial y multidisciplinario, en donde el profesional de enfermería visualiza a la persona de forma integral, utiliza las herramientas y crea alianzas con otras disciplinas para generar nuevas opciones de atención. El objetivo es presentar los resultados del proyecto de investigación 421-B0-249 Sistematización e impacto de los proyectos elaborados en el curso de Gerencia en Enfermería, de la Escuela de Enfermería (Universidad de Costa Rica. 2005-2009).
Método: esta investigación se enmarcó dentro de los elementos que establece la investigación documental. Se realizó la revisión de proyectos, de los informes de docentes que imparten el curso de gerencia, el material publicado y las entrevistas a informantes claves.
Resultados: se logró encontrar que ocho se implementaron realizando cambios en la infractructura y en la dotación de personal. La evidencia es que la mayoría de ellos genera cambios muy significativos en las instituciones, como la capacitación en temas sobre paro cardiaco, el proceso de enfermería y en investigación, la restructuración en departamentos, las ubicaciones de los centros de salud en riesgo y la generación tanto de líneas de investigación como la creación de nuevas áreas de atención.
Discusión: en términos generales se puede decir que la propuesta de aprendizaje de elaborar proyectos en el curso de gerencia en enfermería guarda una estrecha coyuntura con el contexto laboral donde trabajara el enfermero o enfermera egresada de la escuela de Enfermería de la Universidad de Costa Rica.
Conclusiones: el o la profesional en enfermería es idóneo/a como responsable de formular proyectos para la gestión del servicio y la gestión del cuidado, pues posee un gran conocimiento de diversas temáticas y propone las bases necesarias para lograr generar nuevas opciones de atención. Este es un escenario más de la actuación de enfermería que aporta conocimiento y genera seguridad en el ejercicio profesional. En los proyectos que están vigentes no se visibiliza o reconoce que fue propuesto por las y los estudiantes.
Abstract:
Introduction/Purpose: by means of projects, care and service management requires a multifactor and multidisciplinary approach so that nursing professionals can see a person from an integral point of view, use available tools, and create alliances with other disciplines in order to produce new care options. Our aim was to present the results of the research project 421-B0-249 systematization and impact of projects developed in a course on Nursing Management, School of Nursing, University of Costa Rica. 2005-2009.
Methods: we carried out an investigation based on documental research methods. Projects, teaching reports by academic staff in nursing management, published materials and interviews with key informants were reviewed.
Results: eight projects were found to be implemented through changes in infrastructures, involving staffing. Most of them were found to result in very significant changes in institutions, for example training on topics such as cardiac arrest, nursing process and nursing research, department reorganization, localization of healthcare at risk, and development of research lines and new healthcare areas. Discussion: in general terms, the training proposal to develop projects in a nursing management course is closely linked to the working settings of nurses being trained in University of Costa Rica School of Nursing.
Conclusions: nurses are suitable professionals to develop projects on service and healthcare management because they have a solid knowledge of various topics and apply the foundations required to create novel healthcare options. This is an additional scenario in nursing actions to provide knowledge and promote safety in nursing work. The fact that a specific project was suggested by students is not visible or recognizable in on-going projects.
Subject(s)
Professional Competence , Holistic Nursing , Students, Nursing , Projects , Costa RicaABSTRACT
OBJECTIVES: This research aimed to know the actual condition and problems of medical information protection at a workplace with the target of industrial health care managers of small and medium-sized enterprises. METHODS: A self-administered questionnaire was given to industrial health-care managers of 216 enterprises from March 15 to May 17, 2010. The questionnaire was produced by referring to the Act on Personal Information Protection of Public Institutions, etc. This research evaluated agreement of cognition and practice according to 10 items of medical information protection using kappa and cross-analysis of significant factors between cognition and practice of medical information protection and general characteristics. RESULTS: Cognition about medical information protection appeared to be 85.4-97.1% and its practice appeared to be 44.1-95.3%, so practice was lower than cognition. In addition, the agreement of cognition and practice appeared significantly low (kappa 0.082-0.387). The practice of medical information protection tended to be lower when the managers were older and held a higher job title. Health examination results were being delivered only to workers except for an employer (94.2%), but there were many industrial health-care managers who felt discomfort about their work in group occupational health-care systems (58.1%). CONCLUSIONS: The practice of protecting medical information by industrial health-care managers was clearly lower than the cognition. Therefore, introduction of educational programs about personal information protection and provision of an independent place for group occupational health care service is urgent. In addition, in order to use the health examination results conveniently in group occupational health services, an institutional complement is necessary.
Subject(s)
Humans , Cognition , Complement System Proteins , Computer Security , Delivery of Health Care , Hypogonadism , Mitochondrial Diseases , Occupational Health , Occupational Health Services , Ophthalmoplegia , Surveys and QuestionnairesABSTRACT
For developing the Group Health care system, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as health education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs Additionally job satisfaction and perceived need on specific job items were analysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.
Subject(s)
Creativity , Surveys and Questionnaires , Delivery of Health Care , Health Education , Job SatisfactionABSTRACT
To evaluate the change of perception, attitude and practice toward Group Health Care Systerl for small and medium industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon area, in year 1992 and 1993. major dependent variables were perception, attitude, and practical behavioral change related with Croup Health Care System ; these variables were measured by 3-point Likert like scale. 47 industries were used in analysis. Psrception of year 1993 was higher (1.25) than that (1 34) of 1992. Attitude of yeal. 1993 was also slightly higher (1.46) than that (1.43) of 1992. Both data indicated positive attitude. Practice of year 1993 was slightly lewer (0.86) tHan that (0.90) of 1992, but its change didn't have any statistical significance. In year 1992, major determinants of perception, attitude and behaviral change were sex and age of industrial health care manager ; they had positive efffct upon perception and practice. In yeal. 1993, it was sex of health care manager; it had influenced upon practice. Both year 1992 and 1993, perception was higher and attitude was more positive. In the case of higher perception or positive attitude, practice was active accordingly. To accelerate the behavioral change of health care manager, it is necessary to eaucate them continuously.